Carpometacarpal osteoarthritis Musculoskeletal Diseases Arthrosis of first carpometacarpal joint
Conditions
Interventions
Kaltenborn?s mobilization technique:
In brief, Kaltenborn described these mechanics in terms of the convex-concave rule. The direction of decreased joint gliding in a hypomobile joint and thus the app
a female (concave) joint surface glides in the same direction as the bone movement while a male (convex) surface glides in the opposite direction of the bone movement. Traction is the technique that d
Sponsors
Azienda Sanitaria Locale (ASL) 3 (Italy)
Rey Juan Carlos University (Universidad Rey Juan Carlos)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients who used the dominant hand systematically such as ex-factory workers and home workers, and were diagnosed with secondary carpometacarpal osteoarthritis in the dominant hand by X-ray detection of stage III and IV according to the Eaton-Littler-Burton Classification
Exclusion criteria
Exclusion criteria: 1. With a medical history of carpal tunnel syndrome 2. Arthritis 3. Surgical interventions on CMC joint 4. Patients with D?Quervain?s tenosynovitis were also excluded 5. Patients presenting degenerative or non-degenerative neurological conditions in which pain perception was altered
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain measurement 1.1. Pressure pain threshold (PPT) was measured by using a mechanical pressure algometer (Wagner Instruments, Greenwich, Connecticut, USA) with a 1cm2 rubber tipped plunger mounted on a force transducer 1.2. The PPT is defined as the minimum amount of pressure that results in the sense of pressure changing to pain 1.3. The mean of three measurements (intra-examiner reliability) was calculated and used for the main analysis 1.4. The range of values of the pressure algometer was 0 to 10 kg, with a minimal sensibility of 0.1 kg 1.5. For these specific cases, the algometry has higher reliability (Intra-class correlation coefficient [ICC]=0.91, Interval confidence [IC] del 95%: 0.82-0.97) for PPT measurement in older patients 1.6. In addition, previous studies have reported an intra-examiner reliability for this procedure ranging from 0.6 to 0.97, and the inter-examiner reliability ranged from 0.4 to 0.98 1.7. PPT measurements were collected at both thecarpometacarpal (CMC) joint at the bottom of the anatomical snuffbox and tubercle of the scaphoid bone 2. Strength measurements: 2.1. Pinch strength: 2.1.1. The pinch strength was measured by a mechanical pinch gauge (Baseline, NY, USA) while the patient was in the sitting position with the shoulder adducted and neutrally rotated and the elbow flexed at 90° 2.1.2. Two different measurements were taken: first, the tip pinch between the index finger and thumb and, then, the tripod pinch between the index and medial fingers and the thumb 2.1.3. The reliability of this procedure to measure the pinch strength has been found to be on the order of 0.93 2.2. Grip strength measurements: 2.2.1. Grip strength measurements were taken with a grip dynamometer (Baseline, NY, USA) while the patient was also in the sitting position, which has a precision and reliability of ± 3% for grip strength measurements 2.2.2. The reliability of the measurements was expressed by ICC between 0.82 and 0.97 for grip strength measurem | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
Italy
Outcome results
None listed